Inpatient Coding, Forensics & Compliance Specialist

Stout; Detroit (MI); On-site; USD 74,000 - 135,000; Full time

Job summary

Stout seeks a seasoned inpatient coder to review ICD-10-CM/PCS records, evaluate MS-DRG/APC assignments, and support audits and investigations. You will analyze coding practices and prepare client-ready deliverables while staying current with regulatory updates.

A health information management degree and CCS/CIC/RHIT/RHIA credentials are preferred. Five years of acute-care inpatient coding experience, strong analytical abilities, and excellent communication are essential for success in

Qualifications

• Bachelor's degree in Health Information Management or related field.
• Active CCS, CIC, RHIT, or RHIA credential required.
• Five years of acute-care inpatient coding experience.
• Knowledge of MS-DRG, APR-DRG, APC reimbursement methodologies.
• Experience with coding audits and denials.
• Knowledge of CMS, HIPAA, and the False Claims Act.
• Strong Microsoft Office, analytical, and communication skills.

Responsibilities

• Review inpatient medical records for ICD-10-CM/PCS coding accuracy.
• Analyze coding, billing, and reimbursement practices.
• Support forensic analyses and compliance reviews.
• Assist with audits, investigations, and litigation support.
• Evaluate MS-DRG, APR-DRG, and APC assignments.
• Prepare reports and client-ready deliverables.
• Monitor coding trends and regulatory updates.
• Collaborate with clients, legal counsel, and engagement teams.

Skills

Acute-care inpatient coding

Analytical skills

Communication

Regulatory knowledge

Education

Bachelor's degree in Health Information Management or related field

Professional credential (CCS/CIC/RHIT/RHIA)

Tools

MS Office

Job description

Stout seeks a seasoned inpatient coder to review ICD-10-CM/PCS records, evaluate MS-DRG/APC assignments, and support audits and investigations. You will analyze coding practices and prepare client-ready deliverables while staying current with regulatory updates.

A health information management degree and CCS/CIC/RHIT/RHIA credentials are preferred. Five years of acute-care inpatient coding experience, strong analytical abilities, and excellent communication are essential for success in